Treatment of self inflicted scars is allways a difficult task. These scars are usually on the nondominant forarm and extend as parellel white lines. Patients are stigmatised by the community due to this scars and want to get rid of them. Treatment of these scars is different than routine scar revisions. This will be a destigmatization action.After request of our patient to transform the scar into another form of scar , we use split thickness excision of the lesion and subsequent grafting of the area with STSG. Although there is an increase in total scar area and an extra donor site scar, destigmatisation of the patients is achieved. Introduction It is a difficult task to face a patient who has self inflicted scars and wants to get rid of it. These scars are usually multiple, parallel, thin hypo pigmented lines of razor blade or knife lacerations. They are usually located on the nondominant forearm. Cigarette burns may accompany these lesions. They differ from suicide gestures, which are usually single and located over the wrist.Self mutilation is defined as the act of damaging seriously by cutting off or altering an essential part. The skin is usually the essential part. In the community this scars are seen as a mark of psychopathic behavior and the patients are stigmatized by the community. Especially in professional life these scars do not leave a good impression. The patients want to get rid of these scars which is hardly achieved. The lacerations are multiple in numbers, cover a large area, are already thin and stretch out into deep dermis or subcutaneous tissue. After request of one of our patients to transform this scar into another form of scar which would be none stigmatized, we deeply abraded all the cicatrized area and overgrafted it with a split thickness skin graft (STSG). This treatment option supplied an acceptable aesthetic appearance of the cicatrized area and destigmatization of the patient but an extra donor side morbidity and increase in total scar area. Destigmatization of self inflicted scars with overgrafting is done on twelve patients; all were satisfied with the results. Social destigmatization was more important for the patients as extra donor site morbidity or increased total scar area. Cases Case 1Twenty four year old female, single, teacher in a high school in rural area. Inflicted razor blade scars on non-dominant forarm in adolescent period. It was after an explosive reaction which lasted a few seconds; lesions were sutured in the emergency room the day after. She came to our clinic with the complain of wearing long sleeves and sweatshirts throughout the year, which was difficult especially in summer. She wanted to be able to wear t-shirts and summer clothes. First we performed local dermaabrasion, they healed well but the parallel hypo pigmented form of the scars remained. She requested to transform the scars into another form, ‘like burn scar' she said. We performed dermaabrasion to total cicatrized area but the parallel thin scars were still remarkable. (Figure 1) So we decided to overgraft the lesion with STSG obtained from the buttock area.
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